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1 <br /> i <br /> WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> �lierit/ To.•s�a ' <br /> Facility #_:2 Job#: /S6l3 <br /> Address: 1 r-eL &L-A-- Date: Z g <br /> City: S Sampler: �( <br /> Well ID _ Hfr,l-3 _ Well Condition <!rk pekjh c. <br /> Weil Diameter in Hydrocarbon Amount Bailed <br /> Total Depth <br /> Thickness (product/water) <br /> _ Z 3.Q,� n <br /> volume z^=a 17 3^= 0.38 4^= a 6e <br /> Depth to Water s' Z Pr_ £a�O1 ) 6"- ISO 12"-5 80 <br /> X VF � -� X 3 (case volume) = Estimated Purge Volume <br /> Purge Disposable Baiter Sampling <br /> Equipment: Bailer Equipment- Disposable Bail <br /> Stack Bai e <br /> cictlo Pressure Bailer <br /> rundfos Grab Sample <br /> Other Other <br /> Starting Time 3'-1 �. Weather Conditions/9 <br /> Sampling Time ___ 3 Water Colorer Odor nzQ <br /> Purging Flow Rate / npm Sediment Description <br /> Did well de-water? If yes, Time Volume —. resat 1 <br /> Time Volume pH Conductivity Temperature D O ORP Alkaluuty <br /> (gal) pmhos/anJiV,-,j:�) ;4`0 (mg/L) (mV) (Ppm) <br /> tc 6 <br /> LABORATORY INFORMATION <br /> SAMPLE 10 (p}- CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> plc% 3 3 ✓v,4 <br /> ff Gk�-c a TPff G-6T��c Fl rB <br /> << ! Rte ve 4 -r. TP�}1J <br /> COMMENTS: <br />� 9l97 Ibld"t!^n <br />